The relationship between thoracic kyphosis and age, and normative values across age groups: a systematic review of healthy adults.
Mattia Zappalá, Stephen Lightbourne, Nicola R Heneghan
https://pubmed.ncbi.nlm.nih.gov/34243795Actively Recruiting
Phase Not Applicable
Age: 18Years - 45Years
All Genders
ID07588061
Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome
Led by Ibadat International University, Islamabad · Updated on 2026-05-20
58
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of combining Maitland mobilization with Kendall exercises compared to Kendall exercises alone on pain and posture in adults with Upper Cross Syndrome (UCS). UCS is a condition marked by muscle imbalance causing forward head posture, rounded shoulders, and increased thoracic kyphosis. This trial aims to measure changes in pain intensity, head and shoulder alignment, and thoracic spine curvature. Participants are divided into two groups. One group receives Maitland mobilization techniques applied to the cervical and thoracic spine by a trained physiotherapist, alongside Kendall exercises that strengthen weak muscles and stretch tight ones. The other group performs only the Kendall exercise program targeting postural correction. Both interventions focus on muscles involved in UCS and are designed to improve posture and reduce pain. During the 8-week study, participants will have their thoracic kyphosis measured with a flexicurve ruler, forward head posture assessed using a mobile protractor app, rounded shoulder posture checked with a caliper, and pain recorded on a visual analogue scale. These assessments occur from the start to the end of the trial to track progress. The trial uses a randomized design with single masking and is sponsored by Ibadat International University, Islamabad.
CONDITIONS
Brief Title
Comparative Effect of Maitland Mobilization Combined With Kendall Exercises for Pain and Postural Alignment in Adults With Upper Cross Syndrome
Who Can Participate
Age: 18Years - 45Years
All Genders
Eligibility Criteria
You may qualify if you...
- Age 18 to 45 years
- Neck and/or upper thoracic pain lasting more than 6 weeks
- Pain severity greater than 5 on visual analogue scale
- Pain worsened by prolonged postures
- Adults diagnosed with Upper Cross Syndrome
- Diagnosis confirmed by thoracic kyphosis over 40°, craniovertebral angle under 50°, and acromion-to-couch distance over 2.5 cm
You will not qualify if you...
- History of neck or shoulder surgery or trauma
- Inflammatory conditions such as rheumatoid arthritis or gout
- Pregnancy
- Neurological conditions affecting upper limb function
- Cardiovascular problems
- Congenital issues like torticollis or scoliosis
- Disc prolapse and other spinal issues
- Currently taking any medication or undergoing physical therapy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 8 weeks
Participants receive either Kendall exercises combined with Maitland mobilization or Kendall exercises alone to improve pain and postural alignment related to Upper Cross Syndrome.
Weekly visits for 8 weeks
Trial Site Locations
Total: 1 location
1
Ibadat International University, Islamabad (Iiui)
Peshawar, KPK, Pakistan, 25000
Actively Recruiting
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Research Team
N
Naeem Ullah, DPT, MS-PT MSK
F
Fatima Amjad, DPT, MS-PT Sports, PHD Scholer
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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